1984, 01-16 Permit: 84A-495 InspectADDRESS
DISPECTION RECORD
DATE REMARKS
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[FLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY— DEPARTMENT OF BUILDING & SAFETY
NORTH 111 JEFFERSON / SPOKANE. WASHINGTON 00.0 / ISM) t./.l.T/
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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LEGAL DESCRIPTION:
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TYPE O'i.EW O ALT. 0 AO. N. O RFL 0 SAVE. fOT1ER
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... y to unbn'. or ane. REE provisions
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RH ! FOR REQUIRED INEFECTIONtr rpul.1100 co.ln.tlbn w p1*1wmNM
SKiNATURE OF C �yy/y,1_� AORRLICATIONI /fi/ y*/
OWNER011AGE.T ���4 /r'47 *'�V !/ J7
SPECIAL APPROVAL'
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SPECIAL CONDITIONS: REE REVERSE SIDE FOR NOTICE)
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S. Ile -QF.R4, ') TD E .43107 6T—" iajE.
FERMIT =NONTRANSFERABLE
PERMIT IS NULL AND V010 IF WORK HAS NOT COMMENCED
FEES COLLECTED
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PAP..
M.Nr.
NDA
Nb. NM.
Ira= 669ro�
TOTAL S
PERMIT NUMBS
C2•
3S 3^
vI-IS-94
A470
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.